ATI FOUNDATIONS TEST A
COMPREHENSIVE QUESTIONS
WITH CORRECT ANSWERS AND
RATIONALES 2026
**1. A nurse is reinforcing teaching with a client about advance
directives. Which client statement indicates understanding?**
A. "My family has to approve any changes I make to my living
will."
B. "I can change or revoke my advance directive at any time
while I am competent."
C. "Advance directives are only valid if I am terminally ill."
D. "A durable power of attorney for health care cannot be
revoked."
**Correct Answer: B**
**Rationale:** Competent adults retain the right to modify or
revoke advance directives at any time. Option A is incorrect
because family approval is not required. Option C is incorrect
because advance directives apply to various situations beyond
terminal illness, including permanent unconsciousness. Option
,D is incorrect because a durable power of attorney can be
revoked by the principal while competent.
---
**2. A nurse is explaining ethical principles to a newly licensed
nurse. Allowing a client to make a decision about treatment is
an example of which ethical principle?**
A. Justice
B. Autonomy
C. Fidelity
D. Veracity
**Correct Answer: B**
**Rationale:** Autonomy is the client's right to make their own
decisions. Option A (Justice) relates to fairness. Option C
(Fidelity) relates to loyalty and keeping promises. Option D
(Veracity) relates to truth-telling.
---
**3. A nurse is taking notes on a piece of paper while receiving
a report. How should the nurse dispose of the paper?**
, A. Throw it in the regular trash.
B. Leave it at the nurse station.
C. Shred the paper in a secure container.
D. Take it home and discard later.
**Correct Answer: C**
**Rationale:** Any paper with Protected Health Information
(PHI) must be destroyed securely, typically by shredding, to
comply with HIPAA regulations. Options A, B, and D all violate
confidentiality laws and put the client's privacy at risk.
---
## SECTION 2: Safety & Infection Control
**4. A nurse is preparing to enter the room of a client who has a
suspected infection requiring contact precautions. Which action
should the nurse take first?**
A. Put on sterile gloves.
B. Place a surgical mask over the mouth and nose.
C. Perform hand hygiene before donning the required personal
protective equipment.
D. Ask the client to leave the room.
COMPREHENSIVE QUESTIONS
WITH CORRECT ANSWERS AND
RATIONALES 2026
**1. A nurse is reinforcing teaching with a client about advance
directives. Which client statement indicates understanding?**
A. "My family has to approve any changes I make to my living
will."
B. "I can change or revoke my advance directive at any time
while I am competent."
C. "Advance directives are only valid if I am terminally ill."
D. "A durable power of attorney for health care cannot be
revoked."
**Correct Answer: B**
**Rationale:** Competent adults retain the right to modify or
revoke advance directives at any time. Option A is incorrect
because family approval is not required. Option C is incorrect
because advance directives apply to various situations beyond
terminal illness, including permanent unconsciousness. Option
,D is incorrect because a durable power of attorney can be
revoked by the principal while competent.
---
**2. A nurse is explaining ethical principles to a newly licensed
nurse. Allowing a client to make a decision about treatment is
an example of which ethical principle?**
A. Justice
B. Autonomy
C. Fidelity
D. Veracity
**Correct Answer: B**
**Rationale:** Autonomy is the client's right to make their own
decisions. Option A (Justice) relates to fairness. Option C
(Fidelity) relates to loyalty and keeping promises. Option D
(Veracity) relates to truth-telling.
---
**3. A nurse is taking notes on a piece of paper while receiving
a report. How should the nurse dispose of the paper?**
, A. Throw it in the regular trash.
B. Leave it at the nurse station.
C. Shred the paper in a secure container.
D. Take it home and discard later.
**Correct Answer: C**
**Rationale:** Any paper with Protected Health Information
(PHI) must be destroyed securely, typically by shredding, to
comply with HIPAA regulations. Options A, B, and D all violate
confidentiality laws and put the client's privacy at risk.
---
## SECTION 2: Safety & Infection Control
**4. A nurse is preparing to enter the room of a client who has a
suspected infection requiring contact precautions. Which action
should the nurse take first?**
A. Put on sterile gloves.
B. Place a surgical mask over the mouth and nose.
C. Perform hand hygiene before donning the required personal
protective equipment.
D. Ask the client to leave the room.
